Individual
AMANDA MATHESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
833 CHESTNUT ST STE 220, PHILADELPHIA, PA 19107-4405
(215) 955-8465
Mailing address
833 CHESTNUT ST STE 220, PHILADELPHIA, PA 19107-4405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD477790
PA
Other
Enumeration date
05/20/2019
Last updated
08/18/2022
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